HCPCS Code M1483

Patients who achieve sustained virological response as identified by an hcv rna test (cpt 87522) or (cpt 87521) with a negative/undetectable hcv rna result that occurred 20 weeks to 12 months after the first positive/detectable hcv rna test result within the denominator identification period
Code effective Jan 01, 2026

HCPCS Section
Medical services

M1483 is a valid 2026 HCPCS code meaning Patients who achieve sustained virological response as identified by an hcv rna test (cpt 87522) or (cpt 87521) with a negative/undetectable hcv rna result that occurred 20 weeks to 12 months after the first positive/detectable hcv rna test result within the denominator identification period or (Neg quan hep c or qual rna) for short. HCPCS M1483 has been effective since 01/01/2026 and applies to Medical care.


HCPCS Code Details - M1483

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1483
Description

Long description:
Patients who achieve sustained virological response as identified by an hcv rna test (cpt 87522) or (cpt 87521) with a negative/undetectable hcv rna result that occurred 20 weeks to 12 months after the first positive/detectable hcv rna test result within the denominator identification period

Short description:
Neg quan hep c or qual rna

HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code Z2 - Undefined codes
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2026
Date added Added Jan 01, 2026

See also

  • HCPCS M1482 · Positive/detectable hepatitis c virus quantitative or qualitative rna test result during the denominator identification period

  • HCPCS M1347 · Patients who achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing)

  • HCPCS M1348 · Patients who achieved a net increase in pam score of at least 6-points in a 4 to 12 month period (excellent)

  • HCPCS M1484 · Patients who did not have a repeat hcv rna labs performed for medical reasons documented by clinician (e.g., patient with limited life expectancy, delay in treatment of hcv related to treatment of hiv, hbv, hepatocellular carcinoma, decompensated cirrhosis)

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”


HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

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